Mechanical functions of the three bundles consisting of the human anterior cruciate ligament
Purpose The reconstruction technique to individually reconstruct multi-bundles of the anterior cruciate ligament (ACL) has been improved in the last decade. For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial an...
Ausführliche Beschreibung
Autor*in: |
Fujie, H. [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2011 |
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Schlagwörter: |
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Anmerkung: |
© Springer-Verlag 2011 |
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Übergeordnetes Werk: |
Enthalten in: Knee surgery, sports traumatology, arthroscopy - Berlin : Springer, 1993, 19(2011), Suppl 1 vom: 04. Mai, Seite 47-53 |
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Übergeordnetes Werk: |
volume:19 ; year:2011 ; number:Suppl 1 ; day:04 ; month:05 ; pages:47-53 |
Links: |
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DOI / URN: |
10.1007/s00167-011-1513-1 |
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Katalog-ID: |
SPR001381032 |
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520 | |a Purpose The reconstruction technique to individually reconstruct multi-bundles of the anterior cruciate ligament (ACL) has been improved in the last decade. For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial and lateral bundles (AMM and AML) of the anteromedial (AM) bundle and the posterlateral (PL) bundle) of the human ACL in response to hyperextension, passive flexion–extension and anterior force to the knee. Methods Using a 6-DOF robotic system, the human cadaveric knee specimens were subjected to hyperextension, passive flexion–extension and anterior–posterior tests, while recording the 6-DOF motion and force/moment of the knees. The intact knee motions recorded during the tests were reproduced after sequential bundle transection to determine the bundle forces. Results The bundle forces were around 10 N at 5 N-m of hyperextension and remained less than 5 N during passive flexion–extension. In response to 100 N of anterior force, the AMM and PL bundle forces were slightly higher than the AML bundle force at full extension. The AMM bundle force remained at a high level up to 90° of flexion, with significant differences versus the AML bundle force at 15°, 30° and 60° of flexion and the PL bundle force at 90° of flexion. Conclusion The AMM bundle is the primary stabilizer to tibial anterior drawer through wide range of motion, while the AML bundle is the secondary stabilizer in deep flexion angles. The PL bundle is the crucial stabilizer to hyperextension as well as tibial anterior drawer at full extension. Level of evidence Prognostic study, Level II. | ||
650 | 4 | |a ACL three bundles |7 (dpeaa)DE-He213 | |
650 | 4 | |a ACL reconstruction |7 (dpeaa)DE-He213 | |
650 | 4 | |a In situ force |7 (dpeaa)DE-He213 | |
650 | 4 | |a Robotic system |7 (dpeaa)DE-He213 | |
650 | 4 | |a Anterior force |7 (dpeaa)DE-He213 | |
700 | 1 | |a Otsubo, H. |4 aut | |
700 | 1 | |a Fukano, S. |4 aut | |
700 | 1 | |a Suzuki, T. |4 aut | |
700 | 1 | |a Suzuki, D. |4 aut | |
700 | 1 | |a Mae, T. |4 aut | |
700 | 1 | |a Shino, K. |4 aut | |
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10.1007/s00167-011-1513-1 doi (DE-627)SPR001381032 (SPR)s00167-011-1513-1-e DE-627 ger DE-627 rakwb eng Fujie, H. verfasserin aut Mechanical functions of the three bundles consisting of the human anterior cruciate ligament 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2011 Purpose The reconstruction technique to individually reconstruct multi-bundles of the anterior cruciate ligament (ACL) has been improved in the last decade. For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial and lateral bundles (AMM and AML) of the anteromedial (AM) bundle and the posterlateral (PL) bundle) of the human ACL in response to hyperextension, passive flexion–extension and anterior force to the knee. Methods Using a 6-DOF robotic system, the human cadaveric knee specimens were subjected to hyperextension, passive flexion–extension and anterior–posterior tests, while recording the 6-DOF motion and force/moment of the knees. The intact knee motions recorded during the tests were reproduced after sequential bundle transection to determine the bundle forces. Results The bundle forces were around 10 N at 5 N-m of hyperextension and remained less than 5 N during passive flexion–extension. In response to 100 N of anterior force, the AMM and PL bundle forces were slightly higher than the AML bundle force at full extension. The AMM bundle force remained at a high level up to 90° of flexion, with significant differences versus the AML bundle force at 15°, 30° and 60° of flexion and the PL bundle force at 90° of flexion. Conclusion The AMM bundle is the primary stabilizer to tibial anterior drawer through wide range of motion, while the AML bundle is the secondary stabilizer in deep flexion angles. The PL bundle is the crucial stabilizer to hyperextension as well as tibial anterior drawer at full extension. Level of evidence Prognostic study, Level II. ACL three bundles (dpeaa)DE-He213 ACL reconstruction (dpeaa)DE-He213 In situ force (dpeaa)DE-He213 Robotic system (dpeaa)DE-He213 Anterior force (dpeaa)DE-He213 Otsubo, H. aut Fukano, S. aut Suzuki, T. aut Suzuki, D. aut Mae, T. aut Shino, K. aut Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 19(2011), Suppl 1 vom: 04. Mai, Seite 47-53 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:19 year:2011 number:Suppl 1 day:04 month:05 pages:47-53 https://dx.doi.org/10.1007/s00167-011-1513-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 19 2011 Suppl 1 04 05 47-53 |
spelling |
10.1007/s00167-011-1513-1 doi (DE-627)SPR001381032 (SPR)s00167-011-1513-1-e DE-627 ger DE-627 rakwb eng Fujie, H. verfasserin aut Mechanical functions of the three bundles consisting of the human anterior cruciate ligament 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2011 Purpose The reconstruction technique to individually reconstruct multi-bundles of the anterior cruciate ligament (ACL) has been improved in the last decade. For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial and lateral bundles (AMM and AML) of the anteromedial (AM) bundle and the posterlateral (PL) bundle) of the human ACL in response to hyperextension, passive flexion–extension and anterior force to the knee. Methods Using a 6-DOF robotic system, the human cadaveric knee specimens were subjected to hyperextension, passive flexion–extension and anterior–posterior tests, while recording the 6-DOF motion and force/moment of the knees. The intact knee motions recorded during the tests were reproduced after sequential bundle transection to determine the bundle forces. Results The bundle forces were around 10 N at 5 N-m of hyperextension and remained less than 5 N during passive flexion–extension. In response to 100 N of anterior force, the AMM and PL bundle forces were slightly higher than the AML bundle force at full extension. The AMM bundle force remained at a high level up to 90° of flexion, with significant differences versus the AML bundle force at 15°, 30° and 60° of flexion and the PL bundle force at 90° of flexion. Conclusion The AMM bundle is the primary stabilizer to tibial anterior drawer through wide range of motion, while the AML bundle is the secondary stabilizer in deep flexion angles. The PL bundle is the crucial stabilizer to hyperextension as well as tibial anterior drawer at full extension. Level of evidence Prognostic study, Level II. ACL three bundles (dpeaa)DE-He213 ACL reconstruction (dpeaa)DE-He213 In situ force (dpeaa)DE-He213 Robotic system (dpeaa)DE-He213 Anterior force (dpeaa)DE-He213 Otsubo, H. aut Fukano, S. aut Suzuki, T. aut Suzuki, D. aut Mae, T. aut Shino, K. aut Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 19(2011), Suppl 1 vom: 04. Mai, Seite 47-53 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:19 year:2011 number:Suppl 1 day:04 month:05 pages:47-53 https://dx.doi.org/10.1007/s00167-011-1513-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 19 2011 Suppl 1 04 05 47-53 |
allfields_unstemmed |
10.1007/s00167-011-1513-1 doi (DE-627)SPR001381032 (SPR)s00167-011-1513-1-e DE-627 ger DE-627 rakwb eng Fujie, H. verfasserin aut Mechanical functions of the three bundles consisting of the human anterior cruciate ligament 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2011 Purpose The reconstruction technique to individually reconstruct multi-bundles of the anterior cruciate ligament (ACL) has been improved in the last decade. For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial and lateral bundles (AMM and AML) of the anteromedial (AM) bundle and the posterlateral (PL) bundle) of the human ACL in response to hyperextension, passive flexion–extension and anterior force to the knee. Methods Using a 6-DOF robotic system, the human cadaveric knee specimens were subjected to hyperextension, passive flexion–extension and anterior–posterior tests, while recording the 6-DOF motion and force/moment of the knees. The intact knee motions recorded during the tests were reproduced after sequential bundle transection to determine the bundle forces. Results The bundle forces were around 10 N at 5 N-m of hyperextension and remained less than 5 N during passive flexion–extension. In response to 100 N of anterior force, the AMM and PL bundle forces were slightly higher than the AML bundle force at full extension. The AMM bundle force remained at a high level up to 90° of flexion, with significant differences versus the AML bundle force at 15°, 30° and 60° of flexion and the PL bundle force at 90° of flexion. Conclusion The AMM bundle is the primary stabilizer to tibial anterior drawer through wide range of motion, while the AML bundle is the secondary stabilizer in deep flexion angles. The PL bundle is the crucial stabilizer to hyperextension as well as tibial anterior drawer at full extension. Level of evidence Prognostic study, Level II. ACL three bundles (dpeaa)DE-He213 ACL reconstruction (dpeaa)DE-He213 In situ force (dpeaa)DE-He213 Robotic system (dpeaa)DE-He213 Anterior force (dpeaa)DE-He213 Otsubo, H. aut Fukano, S. aut Suzuki, T. aut Suzuki, D. aut Mae, T. aut Shino, K. aut Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 19(2011), Suppl 1 vom: 04. Mai, Seite 47-53 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:19 year:2011 number:Suppl 1 day:04 month:05 pages:47-53 https://dx.doi.org/10.1007/s00167-011-1513-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 19 2011 Suppl 1 04 05 47-53 |
allfieldsGer |
10.1007/s00167-011-1513-1 doi (DE-627)SPR001381032 (SPR)s00167-011-1513-1-e DE-627 ger DE-627 rakwb eng Fujie, H. verfasserin aut Mechanical functions of the three bundles consisting of the human anterior cruciate ligament 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2011 Purpose The reconstruction technique to individually reconstruct multi-bundles of the anterior cruciate ligament (ACL) has been improved in the last decade. For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial and lateral bundles (AMM and AML) of the anteromedial (AM) bundle and the posterlateral (PL) bundle) of the human ACL in response to hyperextension, passive flexion–extension and anterior force to the knee. Methods Using a 6-DOF robotic system, the human cadaveric knee specimens were subjected to hyperextension, passive flexion–extension and anterior–posterior tests, while recording the 6-DOF motion and force/moment of the knees. The intact knee motions recorded during the tests were reproduced after sequential bundle transection to determine the bundle forces. Results The bundle forces were around 10 N at 5 N-m of hyperextension and remained less than 5 N during passive flexion–extension. In response to 100 N of anterior force, the AMM and PL bundle forces were slightly higher than the AML bundle force at full extension. The AMM bundle force remained at a high level up to 90° of flexion, with significant differences versus the AML bundle force at 15°, 30° and 60° of flexion and the PL bundle force at 90° of flexion. Conclusion The AMM bundle is the primary stabilizer to tibial anterior drawer through wide range of motion, while the AML bundle is the secondary stabilizer in deep flexion angles. The PL bundle is the crucial stabilizer to hyperextension as well as tibial anterior drawer at full extension. Level of evidence Prognostic study, Level II. ACL three bundles (dpeaa)DE-He213 ACL reconstruction (dpeaa)DE-He213 In situ force (dpeaa)DE-He213 Robotic system (dpeaa)DE-He213 Anterior force (dpeaa)DE-He213 Otsubo, H. aut Fukano, S. aut Suzuki, T. aut Suzuki, D. aut Mae, T. aut Shino, K. aut Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 19(2011), Suppl 1 vom: 04. Mai, Seite 47-53 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:19 year:2011 number:Suppl 1 day:04 month:05 pages:47-53 https://dx.doi.org/10.1007/s00167-011-1513-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 19 2011 Suppl 1 04 05 47-53 |
allfieldsSound |
10.1007/s00167-011-1513-1 doi (DE-627)SPR001381032 (SPR)s00167-011-1513-1-e DE-627 ger DE-627 rakwb eng Fujie, H. verfasserin aut Mechanical functions of the three bundles consisting of the human anterior cruciate ligament 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2011 Purpose The reconstruction technique to individually reconstruct multi-bundles of the anterior cruciate ligament (ACL) has been improved in the last decade. For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial and lateral bundles (AMM and AML) of the anteromedial (AM) bundle and the posterlateral (PL) bundle) of the human ACL in response to hyperextension, passive flexion–extension and anterior force to the knee. Methods Using a 6-DOF robotic system, the human cadaveric knee specimens were subjected to hyperextension, passive flexion–extension and anterior–posterior tests, while recording the 6-DOF motion and force/moment of the knees. The intact knee motions recorded during the tests were reproduced after sequential bundle transection to determine the bundle forces. Results The bundle forces were around 10 N at 5 N-m of hyperextension and remained less than 5 N during passive flexion–extension. In response to 100 N of anterior force, the AMM and PL bundle forces were slightly higher than the AML bundle force at full extension. The AMM bundle force remained at a high level up to 90° of flexion, with significant differences versus the AML bundle force at 15°, 30° and 60° of flexion and the PL bundle force at 90° of flexion. Conclusion The AMM bundle is the primary stabilizer to tibial anterior drawer through wide range of motion, while the AML bundle is the secondary stabilizer in deep flexion angles. The PL bundle is the crucial stabilizer to hyperextension as well as tibial anterior drawer at full extension. Level of evidence Prognostic study, Level II. ACL three bundles (dpeaa)DE-He213 ACL reconstruction (dpeaa)DE-He213 In situ force (dpeaa)DE-He213 Robotic system (dpeaa)DE-He213 Anterior force (dpeaa)DE-He213 Otsubo, H. aut Fukano, S. aut Suzuki, T. aut Suzuki, D. aut Mae, T. aut Shino, K. aut Enthalten in Knee surgery, sports traumatology, arthroscopy Berlin : Springer, 1993 19(2011), Suppl 1 vom: 04. Mai, Seite 47-53 (DE-627)268761787 (DE-600)1473170-8 1433-7347 nnns volume:19 year:2011 number:Suppl 1 day:04 month:05 pages:47-53 https://dx.doi.org/10.1007/s00167-011-1513-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_165 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 19 2011 Suppl 1 04 05 47-53 |
language |
English |
source |
Enthalten in Knee surgery, sports traumatology, arthroscopy 19(2011), Suppl 1 vom: 04. Mai, Seite 47-53 volume:19 year:2011 number:Suppl 1 day:04 month:05 pages:47-53 |
sourceStr |
Enthalten in Knee surgery, sports traumatology, arthroscopy 19(2011), Suppl 1 vom: 04. Mai, Seite 47-53 volume:19 year:2011 number:Suppl 1 day:04 month:05 pages:47-53 |
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ACL three bundles ACL reconstruction In situ force Robotic system Anterior force |
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Knee surgery, sports traumatology, arthroscopy |
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Fujie, H. @@aut@@ Otsubo, H. @@aut@@ Fukano, S. @@aut@@ Suzuki, T. @@aut@@ Suzuki, D. @@aut@@ Mae, T. @@aut@@ Shino, K. @@aut@@ |
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For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial and lateral bundles (AMM and AML) of the anteromedial (AM) bundle and the posterlateral (PL) bundle) of the human ACL in response to hyperextension, passive flexion–extension and anterior force to the knee. Methods Using a 6-DOF robotic system, the human cadaveric knee specimens were subjected to hyperextension, passive flexion–extension and anterior–posterior tests, while recording the 6-DOF motion and force/moment of the knees. The intact knee motions recorded during the tests were reproduced after sequential bundle transection to determine the bundle forces. Results The bundle forces were around 10 N at 5 N-m of hyperextension and remained less than 5 N during passive flexion–extension. In response to 100 N of anterior force, the AMM and PL bundle forces were slightly higher than the AML bundle force at full extension. The AMM bundle force remained at a high level up to 90° of flexion, with significant differences versus the AML bundle force at 15°, 30° and 60° of flexion and the PL bundle force at 90° of flexion. Conclusion The AMM bundle is the primary stabilizer to tibial anterior drawer through wide range of motion, while the AML bundle is the secondary stabilizer in deep flexion angles. The PL bundle is the crucial stabilizer to hyperextension as well as tibial anterior drawer at full extension. 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Fujie, H. |
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Fujie, H. misc ACL three bundles misc ACL reconstruction misc In situ force misc Robotic system misc Anterior force Mechanical functions of the three bundles consisting of the human anterior cruciate ligament |
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Mechanical functions of the three bundles consisting of the human anterior cruciate ligament ACL three bundles (dpeaa)DE-He213 ACL reconstruction (dpeaa)DE-He213 In situ force (dpeaa)DE-He213 Robotic system (dpeaa)DE-He213 Anterior force (dpeaa)DE-He213 |
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misc ACL three bundles misc ACL reconstruction misc In situ force misc Robotic system misc Anterior force |
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misc ACL three bundles misc ACL reconstruction misc In situ force misc Robotic system misc Anterior force |
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Knee surgery, sports traumatology, arthroscopy |
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Mechanical functions of the three bundles consisting of the human anterior cruciate ligament |
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Mechanical functions of the three bundles consisting of the human anterior cruciate ligament |
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Fujie, H. |
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Knee surgery, sports traumatology, arthroscopy |
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Fujie, H. Otsubo, H. Fukano, S. Suzuki, T. Suzuki, D. Mae, T. Shino, K. |
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Fujie, H. |
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mechanical functions of the three bundles consisting of the human anterior cruciate ligament |
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Mechanical functions of the three bundles consisting of the human anterior cruciate ligament |
abstract |
Purpose The reconstruction technique to individually reconstruct multi-bundles of the anterior cruciate ligament (ACL) has been improved in the last decade. For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial and lateral bundles (AMM and AML) of the anteromedial (AM) bundle and the posterlateral (PL) bundle) of the human ACL in response to hyperextension, passive flexion–extension and anterior force to the knee. Methods Using a 6-DOF robotic system, the human cadaveric knee specimens were subjected to hyperextension, passive flexion–extension and anterior–posterior tests, while recording the 6-DOF motion and force/moment of the knees. The intact knee motions recorded during the tests were reproduced after sequential bundle transection to determine the bundle forces. Results The bundle forces were around 10 N at 5 N-m of hyperextension and remained less than 5 N during passive flexion–extension. In response to 100 N of anterior force, the AMM and PL bundle forces were slightly higher than the AML bundle force at full extension. The AMM bundle force remained at a high level up to 90° of flexion, with significant differences versus the AML bundle force at 15°, 30° and 60° of flexion and the PL bundle force at 90° of flexion. Conclusion The AMM bundle is the primary stabilizer to tibial anterior drawer through wide range of motion, while the AML bundle is the secondary stabilizer in deep flexion angles. The PL bundle is the crucial stabilizer to hyperextension as well as tibial anterior drawer at full extension. Level of evidence Prognostic study, Level II. © Springer-Verlag 2011 |
abstractGer |
Purpose The reconstruction technique to individually reconstruct multi-bundles of the anterior cruciate ligament (ACL) has been improved in the last decade. For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial and lateral bundles (AMM and AML) of the anteromedial (AM) bundle and the posterlateral (PL) bundle) of the human ACL in response to hyperextension, passive flexion–extension and anterior force to the knee. Methods Using a 6-DOF robotic system, the human cadaveric knee specimens were subjected to hyperextension, passive flexion–extension and anterior–posterior tests, while recording the 6-DOF motion and force/moment of the knees. The intact knee motions recorded during the tests were reproduced after sequential bundle transection to determine the bundle forces. Results The bundle forces were around 10 N at 5 N-m of hyperextension and remained less than 5 N during passive flexion–extension. In response to 100 N of anterior force, the AMM and PL bundle forces were slightly higher than the AML bundle force at full extension. The AMM bundle force remained at a high level up to 90° of flexion, with significant differences versus the AML bundle force at 15°, 30° and 60° of flexion and the PL bundle force at 90° of flexion. Conclusion The AMM bundle is the primary stabilizer to tibial anterior drawer through wide range of motion, while the AML bundle is the secondary stabilizer in deep flexion angles. The PL bundle is the crucial stabilizer to hyperextension as well as tibial anterior drawer at full extension. Level of evidence Prognostic study, Level II. © Springer-Verlag 2011 |
abstract_unstemmed |
Purpose The reconstruction technique to individually reconstruct multi-bundles of the anterior cruciate ligament (ACL) has been improved in the last decade. For further improvement of the technique, the present study was conducted to determine the force sharing among the three bundles (the medial and lateral bundles (AMM and AML) of the anteromedial (AM) bundle and the posterlateral (PL) bundle) of the human ACL in response to hyperextension, passive flexion–extension and anterior force to the knee. Methods Using a 6-DOF robotic system, the human cadaveric knee specimens were subjected to hyperextension, passive flexion–extension and anterior–posterior tests, while recording the 6-DOF motion and force/moment of the knees. The intact knee motions recorded during the tests were reproduced after sequential bundle transection to determine the bundle forces. Results The bundle forces were around 10 N at 5 N-m of hyperextension and remained less than 5 N during passive flexion–extension. In response to 100 N of anterior force, the AMM and PL bundle forces were slightly higher than the AML bundle force at full extension. The AMM bundle force remained at a high level up to 90° of flexion, with significant differences versus the AML bundle force at 15°, 30° and 60° of flexion and the PL bundle force at 90° of flexion. Conclusion The AMM bundle is the primary stabilizer to tibial anterior drawer through wide range of motion, while the AML bundle is the secondary stabilizer in deep flexion angles. The PL bundle is the crucial stabilizer to hyperextension as well as tibial anterior drawer at full extension. Level of evidence Prognostic study, Level II. © Springer-Verlag 2011 |
collection_details |
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container_issue |
Suppl 1 |
title_short |
Mechanical functions of the three bundles consisting of the human anterior cruciate ligament |
url |
https://dx.doi.org/10.1007/s00167-011-1513-1 |
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author2 |
Otsubo, H. Fukano, S. Suzuki, T. Suzuki, D. Mae, T. Shino, K. |
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Otsubo, H. Fukano, S. Suzuki, T. Suzuki, D. Mae, T. Shino, K. |
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doi_str |
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up_date |
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|
score |
7.399805 |